House of Commons Hansard Written Answers for 13 Jul 2005 (pt 31)

13 Jul 2005 : Column 1145W—continued

School Fruit and Vegetable Scheme

John Mann: To ask the Secretary of State for Health when she intends to publish the full evaluation of the school fruit and vegetable scheme undertaken by the National Foundation of Educational Research; and what funds her Department has allocated to the scheme beyond 2005–06. [6505]

Caroline Flint: The Big Lottery Fund commissioned the National Foundation for Educational Research to carry out the evaluation of the school fruit and vegetable scheme. The Big Lottery Fund expect to publish the final report on their website by the end of August.

An announcement on future funding for the school fruit and vegetable scheme will be made once we have considered the findings from the evaluation.

Seroxat

Paul Flynn: To ask the Secretary of State for Health what her Department's advice is on the prescribing of (a) Seroxat and (b) other selective serotonin reuptake inhibitors. [11319]

13 Jul 2005 : Column 1146W

Jane Kennedy: On 6 December 2004, a letter was sent to all health professionals in the United Kingdom from the Chairman of the Committee on Safety of Medicines announcing the results of the review of the safety of selective serotonin reuptake inhibitors (SSRIs), including Seroxat and providing prescribing advice for all SSRIs. A copy is available in the Library.

On the same day, the National Institute for Health and Clinical Excellence (NICE) published guidelines on the management of depression in primary care. These guidelines state that antidepressants, including SSRIs, are not recommended for the initial treatment of mild depressive illness because the risk-benefit ratio is poor.

Simvastatin

Paul Flynn: To ask the Secretary of State for Health what percentage of the respondents to the consultation on the proposed reclassification of simvastatin as an over-the-counter drug were in favour of the proposal. [10850]

Jane Kennedy: Of the 100 responses received, about one third were supportive of the proposal, one third opposed and one third were not opposed but raised issues. This was the position put to the Committee on Safety of Medicines (CSM), which also had access to the full responses when giving its advice. The consultation raised no issues not already considered by the CSM when their advice to consult on making simvastatin 10 milligrammes (mg) available over the counter was formulated. An error in the summary placed on the website following the announcement of the decision to allow simvastatin 10 mg to be sold in pharmacies had no bearing on the robustness of the deliberations of the CSM.

Responses received to the consultation on the proposed reclassification of simvastatin as an over-the-counter medicine have been made available electronically or summarised on the Medicines and Healthcare products Regulatory Agency's (MHRA) website at:

http://medicines.mhra.gov.uk/inforesources/publications/arm18 responses.htm.

To ensure complete transparency, the MHRA publishes the responses to all such consultations—most recently for chloramphenicol eye drops.

Skin Cancer

Mark Tami: To ask the Secretary of State for Health (1) what guidance her Department provides regarding the prevention of skin cancer caused by over-exposure to the sun; [9215]

(2) how much has been spent by her Department on (a) advertisements and (b) materials to educate individuals on the effects of over-exposure to the sun. [9227]

Caroline Flint: In 2003–04, the United Kingdom health departments provided £400,000 funding to Cancer Research UK to run the SunSmart" sun awareness campaign from 2003–04 for an initial three year period. The campaign aims to raise awareness of skin cancer, the symptoms to look out for and the simple steps on how to prevent it. Posters and information cards have been distributed to health professionals, all

13 Jul 2005 : Column 1147W

general practitioners' surgeries and schools, to reach as many people as possible with the five point SunSmart" message:

Stay in the shade between 11.00 am. and 3 pm.

Make sure you never burn

Always cover up

Remember to take extra care with children

Then use factor 15+ sunscreen

SunSmart" encourages people to protect themselves in the sun, thereby reducing their risk of skin cancer. This public education approach using primary care stakeholders has been very successful in Australia, where changes in attitude towards sun exposure and symptom recognition have reduced skin cancer mortality.

The SunSmart" campaign works primarily through the distribution of materials, public relations and strategy development, underpinned by research to provide an evidence base.

As Cancer Research UK does not use paid advertising in newsletters or papers as a primary communication tool, costs reflect activities such as promotional merchandise, web presence, sun awareness week activities, purchasing of distribution opportunities and conference presence. Estimates of the value of the coverage and reach generated by the campaign in 2004 are as follows:

Number of articles generated: 932

This is an increase of 485 articles—more than double that generated in 2003

76 per cent. of all United Kingdom adults were reached

The advertising equivalent rate is £6, 687,296

494 million people with an opportunity to see

Reach stayed the same as 2003 at 76 per cent.

Frequency of message increased from 10.4 to 13.9 per adult

Note:

The above does not include reach of free resource materials, but to print and radio coverage at nil cost.

Costs of materials include components for their development and design, printing, storage and distribution. Other costs relate to staff, including on costs, are shown in the table.

13 Jul 2005 : Column 1148W

£

Total contract Staff costs Advertising and promotion Materials

2003–04 110,000 26,000 14,500 61,000

2004–05 170,000 45,000 37,000 88,000

2005–06 175,000 48500 39,500 87,000

2006–07 180,000 Unbudgeted at this stage

	Total contract	Staff costs	Advertising and promotion	Materials
2003–04	110,000	26,000	14,500	61,000
2004–05	170,000	45,000	37,000	88,000
2005–06	175,000	48500	39,500	87,000
2006–07	180,000	Unbudgeted at this stage

Smoking

John Cummings: To ask the Secretary of State for Health (1) if she will include in her consultation on the elements of forthcoming health improvement legislation relating to restrictions on smoking the option of designated smoking rooms in workplaces, including licensed premises; [11489]

(2) if she will include in her consultation on elements of forthcoming health improvement legislation relating to restrictions on smoking the designation of well-ventilated smoking rooms which are separated from both bar and eating areas. [11490]

Caroline Flint: The Government's proposals were set out in the White Paper, Choosing Health", in November 2004 for legislation for the vast majority of enclosed public places and workplaces to be smokefree.

Consultation on these proposals began on 20 June, when the consultation paper, Smokefree elements of the Health Improvement and Protection Bill", was published. A copy is available in the Library.

Southend Primary Care Trust

Mr. Amess: To ask the Secretary of State for Health how many (a) NHS clerical, administrative and management staff, (b) NHS hospital doctors and GPs and (c) NHS nurses and midwives there were in Southend Primary Care Trust in each year since 1990. [10533]

Ms Rosie Winterton: The available information is shown in the table.

Information for Southend Primary Care Trust (PCT) is only available from 2001, when the PCT came into existence. Figures by strategic health authority (SHA) are shown from 1992 for medical staff. Information about non-medical staff is only available from 1995.
NHS hospital and community health services (HCHS): Qualified nursing, midwifery and health visiting staff, clerical and administrative staff, managers and senior managers, HCHS Doctors1, General Medical Practitioners2 and Practice Nurses for specified organisations

1992 1993 1994 1995 1996 1997 1998

Q03 Essex

All Doctors 1,920 1,783 1,750 1,999 2,002 2,164 2,177

Of which:

HCHS Doctors⁽⁴⁰⁾ 1,091 949 911 1,157 1,171 1,315 1,315

All General Medical Practitioners⁽⁴¹⁾ 829 834 839 842 831 849 862

All Specified Non-medical Staff ⁽⁴²⁾— ⁽⁴²⁾— ⁽⁴²⁾— 9,375 9,626 9,997 9,658

Of which:

Qualified Nurses ⁽⁴²⁾— ⁽⁴²⁾— ⁽⁴²⁾— 7,399 7,334 7,766 7,359

Managers and Senior Managers ⁽⁴²⁾— ⁽⁴²⁾— ⁽⁴²⁾— 606 536 489 511

General Clerical and Administrative Staff ⁽⁴²⁾— ⁽⁴²⁾— ⁽⁴²⁾— 1,370 1,756 1,742 1,788

GP Practice Nurses 659 638 653 653 645 687 658

Of which:

5AK Southend on Sea PCT

All Doctors ⁽⁴²⁾— ⁽⁴²⁾— ⁽⁴²⁾— ⁽⁴²⁾— ⁽⁴²⁾— ⁽⁴²⁾— ⁽⁴²⁾—

Of which:

HCHS Doctors⁽⁴⁰⁾ ⁽⁴²⁾— ⁽⁴²⁾— ⁽⁴²⁾— ⁽⁴²⁾— ⁽⁴²⁾— ⁽⁴²⁾— ⁽⁴²⁾—

All General Medical Practitioners⁽⁴¹⁾ ⁽⁴²⁾— ⁽⁴²⁾— ⁽⁴²⁾— ⁽⁴²⁾— ⁽⁴²⁾— ⁽⁴²⁾— ⁽⁴²⁾—

All Specified Non-medical Staff ⁽⁴²⁾— ⁽⁴²⁾— ⁽⁴²⁾— ⁽⁴²⁾— ⁽⁴²⁾— ⁽⁴²⁾— ⁽⁴²⁾—

Of which:

Qualified Nurses ⁽⁴²⁾— ⁽⁴²⁾— ⁽⁴²⁾— ⁽⁴²⁾— ⁽⁴²⁾— ⁽⁴²⁾— ⁽⁴²⁾—

Managers and Senior Managers ⁽⁴²⁾— ⁽⁴²⁾— ⁽⁴²⁾— ⁽⁴²⁾— ⁽⁴²⁾— ⁽⁴²⁾— ⁽⁴²⁾—

General Clerical and Administrative Staff ⁽⁴²⁾— ⁽⁴²⁾— ⁽⁴²⁾— ⁽⁴²⁾— ⁽⁴²⁾— ⁽⁴²⁾— ⁽⁴²⁾—

GP Practice Nurses ⁽⁴²⁾— ⁽⁴²⁾— ⁽⁴²⁾— ⁽⁴²⁾— ⁽⁴²⁾— ⁽⁴²⁾— ⁽⁴²⁾—

13 Jul 2005 : Column 1149W

1999 2000 2001 2002 2003 2004

Q03 Essex

All Doctors 2,256 2,232 2,279 2,406 2,494 2,709

Of which:

HCHS Doctors⁽⁴⁰⁾ 1,383 1,360 1,415 1545 1,575 1,739

All General Medical Practitioners⁽⁴¹⁾ 873 872 864 861 919 970

All Specified Non-medical Staff 10,311 10,635 10,780 11,529 11,655 12,213

Of which:

Qualified Nurses 7,510 7,646 8,171 8,757 8,608 8,898

Managers and Senior Managers 563 565 581 837 967 1,140

General Clerical and Administrative Staff 2,238 2,424 2,028 1,935 2,080 2,175

GP Practice Nurses 682 686 696 733 731 775

Of which:

5AK Southend on Sea PCT

All Doctors ⁽⁴²⁾— ⁽⁴²⁾— 84 83 91 112

Of which:

HCHS Doctors⁽⁴⁰⁾ ⁽⁴²⁾— ⁽⁴²⁾— 0 1 3 1

All General Medical Practitioners⁽⁴¹⁾ ⁽⁴²⁾— ⁽⁴²⁾— 84 82 88 111

All Specified Non-medical Staff ⁽⁴²⁾— ⁽⁴²⁾— 240 261 281 269

Of which:

Qualified Nurses ⁽⁴²⁾— ⁽⁴²⁾— 210 213 215 193

Managers and Senior Managers ⁽⁴²⁾— ⁽⁴²⁾— 17 24 42 50

General Clerical and Administrative Staff ⁽⁴²⁾— ⁽⁴²⁾— 13 24 24 26

GP Practice Nurses ⁽⁴²⁾— ⁽⁴²⁾— 82 85 78 71

⁽⁴⁰⁾ Excludes Medical Hospital Practitioners and Medical Clinical Assistants, most of whom are GPs working part time in hospitals
⁽⁴¹⁾ General Medical Practitioners includes Contracted GPs, QMS Others, GP Registrars, GP Retainers and PMS Others. Prior to September 2004 this group included QMS Unrestricted Principals, PMS Contracted GPs, PMS Salaried GPs, Restricted Principals, Assistants, Salaried Doctors (Para 52 SFA), PMS Other, Flexible Career Scheme GPs, GP Registrars, GP Retainers and GP Returners.
⁽⁴²⁾ Data not applicable.
Note:
Data each year as at 30 September, except GP and Practice Nurse data as at 1 October 1992–1999,30 September 2000–2004.
Sources:
NHS Health and Social Care Information Centre General and Personal Medical Services Statistics.
NHS Health and Social Care Information Centre Non-Medical Workforce Census.
NHS Health and Social Care Information Centre Medical and Dental Workforce Census.

		1992	1993	1994	1995	1996	1997	1998
Q03	Essex

	All Doctors	1,920	1,783	1,750	1,999	2,002	2,164	2,177
	Of which:
	HCHS Doctors⁽⁴⁰⁾	1,091	949	911	1,157	1,171	1,315	1,315
	All General Medical Practitioners⁽⁴¹⁾	829	834	839	842	831	849	862

	All Specified Non-medical Staff	⁽⁴²⁾—	⁽⁴²⁾—	⁽⁴²⁾—	9,375	9,626	9,997	9,658
	Of which:
	Qualified Nurses	⁽⁴²⁾—	⁽⁴²⁾—	⁽⁴²⁾—	7,399	7,334	7,766	7,359
	Managers and Senior Managers	⁽⁴²⁾—	⁽⁴²⁾—	⁽⁴²⁾—	606	536	489	511
	General Clerical and Administrative Staff	⁽⁴²⁾—	⁽⁴²⁾—	⁽⁴²⁾—	1,370	1,756	1,742	1,788
	GP Practice Nurses	659	638	653	653	645	687	658

	Of which:

5AK	Southend on Sea PCT
	All Doctors	⁽⁴²⁾—	⁽⁴²⁾—	⁽⁴²⁾—	⁽⁴²⁾—	⁽⁴²⁾—	⁽⁴²⁾—	⁽⁴²⁾—
	Of which:
	HCHS Doctors⁽⁴⁰⁾	⁽⁴²⁾—	⁽⁴²⁾—	⁽⁴²⁾—	⁽⁴²⁾—	⁽⁴²⁾—	⁽⁴²⁾—	⁽⁴²⁾—
	All General Medical Practitioners⁽⁴¹⁾	⁽⁴²⁾—	⁽⁴²⁾—	⁽⁴²⁾—	⁽⁴²⁾—	⁽⁴²⁾—	⁽⁴²⁾—	⁽⁴²⁾—

	All Specified Non-medical Staff	⁽⁴²⁾—	⁽⁴²⁾—	⁽⁴²⁾—	⁽⁴²⁾—	⁽⁴²⁾—	⁽⁴²⁾—	⁽⁴²⁾—
	Of which:
	Qualified Nurses	⁽⁴²⁾—	⁽⁴²⁾—	⁽⁴²⁾—	⁽⁴²⁾—	⁽⁴²⁾—	⁽⁴²⁾—	⁽⁴²⁾—
	Managers and Senior Managers	⁽⁴²⁾—	⁽⁴²⁾—	⁽⁴²⁾—	⁽⁴²⁾—	⁽⁴²⁾—	⁽⁴²⁾—	⁽⁴²⁾—
	General Clerical and Administrative Staff	⁽⁴²⁾—	⁽⁴²⁾—	⁽⁴²⁾—	⁽⁴²⁾—	⁽⁴²⁾—	⁽⁴²⁾—	⁽⁴²⁾—

	GP Practice Nurses	⁽⁴²⁾—	⁽⁴²⁾—	⁽⁴²⁾—	⁽⁴²⁾—	⁽⁴²⁾—	⁽⁴²⁾—	⁽⁴²⁾—

		1999	2000	2001	2002	2003	2004
Q03	Essex

	All Doctors	2,256	2,232	2,279	2,406	2,494	2,709
	Of which:
	HCHS Doctors⁽⁴⁰⁾	1,383	1,360	1,415	1545	1,575	1,739
	All General Medical Practitioners⁽⁴¹⁾	873	872	864	861	919	970

	All Specified Non-medical Staff	10,311	10,635	10,780	11,529	11,655	12,213
	Of which:
	Qualified Nurses	7,510	7,646	8,171	8,757	8,608	8,898
	Managers and Senior Managers	563	565	581	837	967	1,140
	General Clerical and Administrative Staff	2,238	2,424	2,028	1,935	2,080	2,175
	GP Practice Nurses	682	686	696	733	731	775

	Of which:

5AK	Southend on Sea PCT
	All Doctors	⁽⁴²⁾—	⁽⁴²⁾—	84	83	91	112
	Of which:
	HCHS Doctors⁽⁴⁰⁾	⁽⁴²⁾—	⁽⁴²⁾—	0	1	3	1
	All General Medical Practitioners⁽⁴¹⁾	⁽⁴²⁾—	⁽⁴²⁾—	84	82	88	111

	All Specified Non-medical Staff	⁽⁴²⁾—	⁽⁴²⁾—	240	261	281	269
	Of which:
	Qualified Nurses	⁽⁴²⁾—	⁽⁴²⁾—	210	213	215	193
	Managers and Senior Managers	⁽⁴²⁾—	⁽⁴²⁾—	17	24	42	50
	General Clerical and Administrative Staff	⁽⁴²⁾—	⁽⁴²⁾—	13	24	24	26

	GP Practice Nurses	⁽⁴²⁾—	⁽⁴²⁾—	82	85	78	71

Mr. Amess: To ask the Secretary of State for Health how much has been spent by Southend primary care trust on salaries and wages costs for (a) general and senior managers, (b) nurses and midwives and (c) administrative and clerical staff in each financial year since 1997–98. [10534]

Ms Rosie Winterton: Expenditure on salaries and wages by Southend primary care trust (PCT) for the occupational groups requested are shown in the following table.

Senior managers and managers Nursing, midwifery and health visiting staff Administrative and clerical

2000–01 687,377 0 95,032

2001–02 921,055 4,571,231 638,711

2002–03 1,532,287 4,998,534 880,626

2003–04 1,468,100 5,298,229 918,969

Notes:
1. The Department collects primary care trust expenditure information on national health service and non NHS staff. The table shows the total expenditure on the occupational categories requested.
2. Southend PCT was created on 1 April 2000. Therefore, expenditure cannot be shown from 1997–98 until this date.
3. The table contains the relevant information for 2000–01 to 2003–04, which is the latest available.
4. Expenditure in the first year is nil or lower than in later years. This is due to the fact that the PCT was setting up services.

13 Jul 2005 : Column 1150W

	Senior managers and managers	Nursing, midwifery and health visiting staff	Administrative and clerical
2000–01	687,377	0	95,032
2001–02	921,055	4,571,231	638,711
2002–03	1,532,287	4,998,534	880,626
2003–04	1,468,100	5,298,229	918,969

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